ROGER S YOUNG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

ACTIVE

Business

Title

First Name

ROGER

Middle

Last Name

YOUNG

Business Name

ROGER S YOUNG MD

Original Issue Date

04/08/2022

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

OTTAWA

State

Zip

61350

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2023